Experimental evaluation of a prototype robot-assisted system for minimally invasive abdominal surgery using radiofrequency ablation as an example

Klimov DD, Konovalov ME, Prokhorenko LS, et al. Experimental evaluation of a prototype robot-assisted system for minimally invasive abdominal surgery using radiofrequency ablation as an example. Endoscopic Surgery. 2024;30(6):31‑40. (In Russ.)
https://doi.org/10.17116/endoskop20243006131

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

Использование инфографики авторами научных работ

Close metadata

Abstract:

OBJECTIVE

Improving the quality of robot-assisted surgeries performed by methods of local destruction of liver tumors, reducing trauma for the patient and the load on the operating personnel.

MATERIAL AND METHODS

A prototype of a robot-assisted complex was developed, and a method for simulating liver tumors on cadaver material was proposed. Preoperative planning, intraoperative preparation, execution of a robot-assisted operation of local destruction on cadaver material, and estimation of numerical results were carried out.

RESULTS

The distance between the position of the target area determined by CT examination and the actually detected position ranged from 3.8 mm to 4.9 mm.

CONCLUSION

A set of software and hardware tools for using robot-assisted complexes during preoperative planning, intraoperative preparation, and surgery execution using local destruction methods was proposed and tested.

Keywords:

medical robotics

minimally invasive surgery

robot-assisted surgery

Authors:

Klimov D.D.

Russian University of Medicine

ORCID: 0000-0001-6892-9324

Konovalov M.E.

Russian University of Medicine

ORCID: 0000-0003-4072-0777

Prokhorenko L.S.

Russian University of Medicine

ORCID: 0000-0002-9411-5655

Liskevich R.V.

Russian University of Medicine

ORCID: 0000-0002-5455-2439

Mishchenkov D.S.

Russian University of Medicine

ORCID: 0000-0002-9833-1910

Tupikin K.A.

Russian University of Medicine

ORCID: 0000-0001-5467-0737

Poduraev Yu.V.

Russian University of Medicine

ORCID: 0000-0002-7585-6466

Panchenkov D.N.

Russian University of Medicine

SPIN RSCI: 4316-4651
Scopus AuthorID: 41262312000
ORCID: 0000-0001-8539-4392

Received:

12.09.2024

Accepted:

04.10.2024

Close metadata

References:

Burovik I.A., Prohorov G.G., Lushina P.A., Vasiliev A.V., Degtiareva E.A. CT-guided robotic-assisted percutaneous interventions: first experience. Meditsinskaya vizualizatsiya. 2019;23(2):27-35. (In Russ.). https://doi.org/10.24835/1607-0763-2019-2-27-35
Cleary K, Melzer A, Watson V, Kronreif G, Stoianovici D. Interventional robotic systems: applications and technology state-of-the-art. Minim. Invasive Ther Allied Technol. 2006;15:101-113. https://doi.org/10.1080/13645700600674179
Kettenbach J, Kara L, Toporek G, Fuerst M, Kronreif G. A robotic needle-positioning and guidance system for CTguided puncture: Ex vivo results. Minim. Invasive Ther Allied Technol. 2014;23:271-278. https://doi.org/10.3109/13645706.2014.928641
Alexander ES. Comparison of a Patient-Mounted Needle-Driving Robotic System versus Single-Rotation CT Fluoroscopy to Perform CT-Guided Percutaneous Lung Biopsies. J Vasc Intervent Radiol. 2024;35(6):859-864. https://doi.org/10.1016/j.jvir.2024.02.023
Macey M. Abstract No. 224 Feasibility and Accuracy of a Hands-free Robotic System for CT-Guided Needle Insertion in Percutaneous Lung Biopsies in Clinical Practice. J Vasc Intervent Radiol. 2024;34(3):S102.
de Baere T. Abstract No. 270 Safety and performance of the EPIONE robotic assistance for CT-guided percutaneous needle placement in the abdomen: pre-clinical study in pigs. J Vasc Intervent Radiol. 2022;33(6):S124. https://doi.org/10.1016/j.jvir.2022.03.351
Bonnet B, de Baère T, Beunon P, Feddal A, Tselikas L, Deschamps F. Robotic-assisted CT-guided percutaneous thermal ablation of abdominal tumors: An analysis of 41 patients. Diagn Intervent Imag. 2024;105(6):227-232. https://doi.org/10.1016/j.diii.2024.01.005
Konovalov M.E., Klimov D.D., Poduraev Y.V. Development of a Deformable Anthropomorphic Liver Phantom for Multimodal Imaging With Ultrasound and CT,» in IEEE Transactions on Radiation and Plasma Medical Sciences. Asian J Multidimensional Res. 2023;7(8):871-878. https://doi.org/10.1109/TRPMS.2023.3303534